Immediate post-partum insertion of IUDs appeared safe and effective. Advantages being high motivation, assurance that the woman is not pregnant, convenience and few contraindications to the method. Expulsion rates appear to be higher than with interval insertion but continuation rate in term of numbers is encouraging.The popularity of immediate post-partum IUD insertion in countries like China, Mexico, and Egypt supports the feasibility of this approach in our country. Failure to follow up is distressing. Early follow-up may be important in identifying complications and improve compliance.